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养育子女与青少年早期内化问题:区分焦虑症状和抑郁症状的重要性。

Parenting and Early Adolescent Internalizing: The Importance of Teasing Apart Anxiety and Depressive Symptoms.

作者信息

Johnson Lesley E, Greenberg Mark T

机构信息

Pennsylvania State University, State College, PA, USA.

出版信息

J Early Adolesc. 2013 Feb;33(2):201-226. doi: 10.1177/0272431611435261.

Abstract

This community-based study examined differences in parenting quality and parent symptoms for youth in four categories: anxious (elevated anxiety symptoms), depressed (elevated depressive symptoms), comorbid (elevated anxiety and depressive symptoms), and nonelevated (elevations of neither type). Respondents were 976 young adolescents (mean age = 11.3) and their parents (912 mothers, 647 fathers) randomly selected from 28 rural/small town communities. Results indicated that depressed and comorbid groups were associated with significantly lower parenting quality and higher parent psychopathology compared to the nonelevated and anxious groups. This pattern was generally consistent across reporters (youth, mother, and father) and four domains of or related to parenting (support/warmth, conflict/anger, general child management (GCM), and parent psychopathology). Results highlight the importance of accounting for comorbidity when examining relationships between psychopathology symptoms and related variables such as parenting. Implications include the need to address relationships with parents when intervening with youth at risk for or experiencing elevated depressive symptoms.

摘要

这项基于社区的研究考察了四类青少年在养育质量和父母症状方面的差异

焦虑型(焦虑症状加重)、抑郁型(抑郁症状加重)、共病型(焦虑和抑郁症状均加重)和非加重型(两类症状均未加重)。研究对象是从28个农村/小镇社区中随机选取的976名青少年(平均年龄 = 11.3岁)及其父母(912名母亲,647名父亲)。结果表明,与非加重型和焦虑型组相比,抑郁型和共病型组的养育质量显著更低,父母的精神病理学症状更严重。这种模式在报告者(青少年、母亲和父亲)以及养育的四个领域或与养育相关的领域(支持/温暖、冲突/愤怒、一般儿童管理(GCM)和父母精神病理学)中总体上是一致的。研究结果凸显了在考察精神病理学症状与养育等相关变量之间的关系时考虑共病情况的重要性。其意义包括在对有抑郁症状加重风险或正在经历抑郁症状加重的青少年进行干预时,需要关注他们与父母的关系。

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